Two-Year Effects of Interdisciplinary Intervention for Hip Fracture in Older Taiwanese
dc.contributor.author | Shyu, Yea-Ing Lotus | en_US |
dc.contributor.author | Liang, Jersey | en_US |
dc.contributor.author | Wu, Chi-Chuan | en_US |
dc.contributor.author | Su, Juin-Yih | en_US |
dc.contributor.author | Cheng, Huey-Shinn | en_US |
dc.contributor.author | Chou, Shih-Wei | en_US |
dc.contributor.author | Chen, Min-Chi | en_US |
dc.contributor.author | Yang, Ching-Tzu | en_US |
dc.contributor.author | Tseng, Ming-Yueh | en_US |
dc.date.accessioned | 2011-01-31T17:55:24Z | |
dc.date.available | 2011-08-02T18:19:13Z | en_US |
dc.date.issued | 2010-06 | en_US |
dc.identifier.citation | Shyu, Yea-Ing L.; Liang, Jersey; Wu, Chi-Chuan; Su, Juin-Yih; Cheng, Huey-Shinn; Chou, Shih-Wei; Chen, Min-Chi; Yang, Ching-Tzu; Tseng, Ming-Yueh; (2010). "Two-Year Effects of Interdisciplinary Intervention for Hip Fracture in Older Taiwanese." Journal of the American Geriatrics Society 58(6): 1081-1089. <http://hdl.handle.net/2027.42/79338> | en_US |
dc.identifier.issn | 0002-8614 | en_US |
dc.identifier.issn | 1532-5415 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/79338 | |
dc.description.abstract | To explore the 2-year outcomes of an interdisciplinary intervention for elderly patients with hip fracture.Randomized experimental design.A 3,000-bed medical center in northern Taiwan.Patients with hip fracture (N=162): 80 in the intervention group and 82 in the usual care control group.An interdisciplinary program of geriatric consultation, continuous rehabilitation, and discharge planning.Outcomes (clinical outcomes, self-care ability, health-related quality of life (HRQoL), service utilization, and depressive symptoms) were assessed 1, 3, 6, 12, 18, and 24 months after discharge. Self-care ability (ability to perform activities of daily living (ADLs)) was measured using the Chinese Barthel Index. HRQoL was measured using the Medical Outcomes Study 36-item Short Form Survey, Taiwan version (SF-36). Depressive symptoms were measured using the Chinese Geriatric Depression Scale, short form.Subjects in the intervention group had significantly better ratios of hip flexion ( β =5.43, P <.001), better performance on ADLs ( β =9.22, P <.001), better recovery of walking ability (odds ratio (OR)=2.23, P <.001), fewer falls (OR=0.56, P =.03), fewer depressive symptoms ( β =−1.31, P =.005), and better SF-36 physical summary scores ( β =6.08, P <.001) than the control group during the first 24 months after discharge. The intervention did not affect the peak force of the fractured limb's quadriceps, mortality, service utilization, or SF-36 mental summary score.The interdisciplinary intervention for hip fracture benefited elderly persons with hip fracture by improving clinical outcomes, self-care ability, and physical health–related outcomes and by decreasing depressive symptoms during the first 24 months after hospital discharge. | en_US |
dc.format.extent | 204962 bytes | |
dc.format.extent | 3106 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.subject.other | Hip Fracture | en_US |
dc.subject.other | Older Adults | en_US |
dc.subject.other | Interdisciplinary Intervention | en_US |
dc.subject.other | Self-care Ability | en_US |
dc.subject.other | Walking Ability | en_US |
dc.subject.other | Health-related Quality of Life | en_US |
dc.title | Two-Year Effects of Interdisciplinary Intervention for Hip Fracture in Older Taiwanese | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Geriatrics | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Institute of Gerontology, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | School of Nursing | en_US |
dc.contributor.affiliationother | Department of Public Health and Biostatistics Consulting Center | en_US |
dc.contributor.affiliationother | Graduate Institute of Nursing, Chang Gung University, Taoyuan, Taiwan | en_US |
dc.contributor.affiliationother | School of Public Health | en_US |
dc.contributor.affiliationother | Trauma Division, Department of Orthopedics and Departments of | en_US |
dc.contributor.affiliationother | Internal Medicine | en_US |
dc.contributor.affiliationother | Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Taoyuan, Taiwan | en_US |
dc.contributor.affiliationother | Department of Orthopedics, Chang Gung Memorial Hospital, Keelung, Taiwan. | en_US |
dc.identifier.pmid | 20722845 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/79338/1/j.1532-5415.2010.02882.x.pdf | |
dc.identifier.doi | 10.1111/j.1532-5415.2010.02882.x | en_US |
dc.identifier.source | Journal of the American Geriatrics Society | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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